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Report #2869548

Received Oct 30, 2025

Office visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
71 yrs
State
WA
Recovered
Not recovered
Vaccinated
Oct 13, 2025
Onset
Oct 1, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)SANOFI PASTEURUNKUT8794DAIM / RA

Symptoms (3)

ArthralgiaBursitisCondition aggravated

Symptom narrative

Flu shot was administered on right arm on 10/13/25. Pt had increased R shoulder pain and bursitis, was evaluated on 10/30/25 by Dr. Determination was made that flu vaccine may have caused shoulder pain and bursitis.

Current illness

Right side shoulder pain, bursitis

Medical history

none

Other medications

lisinopril 20mg, sertraline 100mg, atorvastatin 20mg, Vitamin D3 25mcg, flonase

Allergies

NKDA

Lab data

x-ray of the right shoulder ordered